Candice Renee Miller
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1831920644
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1831920644
- Entity type
- Individual (NPI-1)
- Name
- Candice Renee Miller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2024
- Certification date
- Aug 12, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-321515 | NV | Yes |
Practice location
7365 Prairie Falcon RdLas Vegas, NV 89128-0807
Phone 702-766-9840
Mailing address
7365 Prairie Falcon RdLas Vegas, NV 89128-0807
Phone 702-766-9840
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